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深圳医药分开遏制过度医疗作用显现--亲稳网络舆情监测室
2012-09-04
深圳“医药分开”两个月百姓得实惠 shenzhen"Medicine separate"Two months enrich people
深圳7月1日起全面取消药品加成,7月21日起公立医院提高诊金。目前深圳67家公立医疗机构运行平稳,次均诊疗费用、次均药品费用均实现下降,门诊输液少了,抗生素使用率下降了,不合理的医药费用逐步得到遏制。
Shenzhen July 1st, abolish all drug addition,On July 21, the public hospital ZhenJin improve.At present shenzhen 67 public medical institution smooth operation,Second all medical expenses/Second all drug costs are down to realize,Outpatient infusion less,Antibiotics usage rate dropped,Unreasonable medical expenses gradually be contained.
根据《深圳市公立医院医药分开改革实施方案》,深圳从7月1日起取消全市所有公立医院2962种医保目录药品15%-25%的加成,实现“进货价卖药”。
According to[Shenzhen public hospital reform medical separate implementation plan],Shenzhen from July 1 to cancel all the public hospital 2962 kinds of medical insurance directory drug 15% - 25% of the addition,realize"Now sell medicine".
据深圳市卫生和人口计划生育委员会介绍,我国从1954年开始实行药品加成制度,这对当时医疗事业的发展起到保障作用。按照相关规定,公立医院药品加成率为西药最高15%,中药最高25%。
According to the shenzhen health and population family planning commission is introduced,From 1954, China began to implement drug addition system,This was the development of the cause of medical treatment to play a role.According to the relevant provisions,Public hospital drug addition rate for western medicine highest 15%,Chinese traditional medicine the highest 25%.
深圳作为首个在全部医疗保险定点机构全面取消“药品加成”的城市,改革力度空前。据深圳社保部门测算,此项改革后,深圳每年可减轻参保人自付费用2.09亿元,其中门诊费用1.99亿元,住院费用0.1亿元。
Shenzhen as a first in all medical insurance orgnaization comprehensive cancel"Drug addition"city,Reform unprecedented.According to the shenzhen social security department estimates,After the reform,Shenzhen can reduce ginseng every year since pay cost 209 million yuan,The outpatient costs 199 million yuan,Hospital cost 010 million yuan.
深圳7月1日迈出医药分开第一步之后,7月21日再出“硬招”:全面提高公立医院门诊和住院诊查费标准。此举旨在完善公立医院补偿机制,体现医务人员技术劳务价值。
Shenzhen July 1, the first step towards medicine apart after,Again the July 21,"Hard recruit":Improve public hospital outpatient service and be in hospital inspecting fee standard.The purpose of this action is to perfect the compensation mechanism of public hospital,Reflect the medical staff technical labor value.
据深圳市卫人委主任江捍平介绍,具体调价方案为:依据医院等级设置的不同,分级提高门诊和住院诊查费的价格标准,在原来的基础上平均每门诊人次提高门诊诊查费12元,平均每住院床日提高住院诊查费37元。社会医疗保险统筹基金承担本市社会医疗保险参保人诊查费增加部分,不增加患者负担。
According to the shenzhen health people committee director JiangHan flat is introduced,The specific price adjustment scheme for:According to the rank of the hospital setting different,Hierarchical improve outpatient service and be in hospital inspecting cost price standard,On the basis of the original average outpatient service people improve outpatient inspecting fee 12 yuan,Average hospital bed every day to improve hospital inspecting fee RMB 37.Social medical insurance as a whole of fund bear this city social medical insurance protects a person inspecting fee increase part,Do not increase the burden of patients.
江捍平说,取消药品加成费用,提高诊查费价格标准,是完善公立医院补偿机制,建立体现医疗行业特点的服务价格体系和医务人员薪酬标准体系的重要举措。此举意味着彻底打断公立医院业务收入与用药数量、药品价格直接挂钩的利益链条,将为全面遏制公立医院过度用药、用高价药的现象发挥重要作用。
JiangHan flat said,Cancel the drug addition cost,Improve inspecting cost price standard,A public hospital is to perfect the compensation mechanism,Establish reflect the characteristics of the medical industry service price system and medical personnel salary standard system important action.It would mean a thoroughly interrupt public hospital business income and use quantity/The price of drugs in the interests of the directly link chain,Will be fully contained excessive use public hospital/The phenomenon of medicine with high play an important role.
深圳医药分开改革在遏制过度医疗当中的作用逐步显现。今年7-8月,深圳全市公立医院门诊患者抗菌药物处方比例下降到13.7%(2011年11月为20.43%);门诊静脉输液病人比例下降到8.8%(2011年8月为10.9%);药品收入占业务收入的比例(“药占比”)为32.5%,同比下降4.4个百分点。
Shenzhen medicine separate reform in curb excessive medical treatment effect of gradually appear.7 - August this year,Shenzhen city public hospital clinic patients antimicrobial prescription proportion dropped to 13.7%(In November 2011 to 20.43%);Outpatient intravenous infusion proportion of patients dropped to 8.8%(In August 2011 to 10.9%);Drug income accounted for the proportion of business income("Medicine accounted for more than")Is 32.5%,4.4% year-on-year drop.
据江捍平介绍,接下来深圳将推进付费制度改革、逐步打破医院药房垄断现象、推进采购制度改革、完善行业诚信服务体系、推进医院运行制度改革和建立分类管理的财政补助模式这六项配套改革,使改革在惠及群众的同时,从整体上激发医院发展活力。
According to JiangHan flat is introduced,The next shenzhen will boost pay system reform/Gradually break the hospital pharmacy monopoly phenomenon/Advance purchase system reform/Perfect industry credit service system/Promote the hospital operation system reform and the establishment of classification management of financial aid mode this six coordinated reforms,Make reform in benefit the masses at the same time,On the whole excitation hospital development vitality.
深圳市委书记王荣说,医疗卫生体制机制不能回到简单的“大锅饭”时代,而要通过深化改革,建立更现代化的医疗卫生体制机制。解决这些问题,不是通过否定改革来解决,而要靠继续深化改革,保证医疗卫生事业更好更快地发展。(记者 吴俊)
Shenzhen municipal party committee secretary WangRong said,Medical and health system mechanism can't return to the simple"mess"age,But through deepening reform,Build a more modern medical and health system mechanism.Solve these problems,Not through the negative reform to solve,And want to rely on continue to deepen the reform,Ensure that medical and health services better and faster development.(Reporter wu jun)
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